Pituitary adenoma surgery: Difference between revisions
Jump to navigation
Jump to search
| Line 6: | Line 6: | ||
==Surgery== | ==Surgery== | ||
Surgical treatment and | Surgical treatment and contraindication for pituitary adenoma:<ref name=national cancer institute> Pituitary Tumor (2015) http://www.cancer.gov/types/pituitary/hp/pituitary-treatment-pdq#section/_13. Accessed on 9 28 2015 </ref> | ||
*The | |||
*The transsphenoidal microsurgical approach to a [[pituitary]] lesion is the most widely employed surgical approach to pituitary lesions and represents a major development in the safe surgical treatment of both hormonally active and nonfunctioning tumors. | |||
*This approach is often successful in debulking tumors, even those that have a significant [[suprasellar]] extension. | *This approach is often successful in debulking tumors, even those that have a significant [[suprasellar]] extension. | ||
*A contraindication to this approach includes tumors with a significant suprasellar extension with an hourglass-shaped narrowing between the intrasellar and suprasellar component because blind attempts to reach the suprasellar tumor may lead to cerebral damage. | *A contraindication to this approach includes tumors with a significant suprasellar extension with an hourglass-shaped narrowing between the intrasellar and suprasellar component because blind attempts to reach the suprasellar tumor may lead to cerebral damage. | ||
*An infection in the [[sphenoid sinus]] is potentially a contraindication to the transsphenoidal approach | *An infection in the [[sphenoid sinus]] is potentially a contraindication to the transsphenoidal approach | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 18:44, 30 September 2015
|
Pituitary adenoma Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Pituitary adenoma surgery On the Web |
|
American Roentgen Ray Society Images of Pituitary adenoma surgery |
|
Risk calculators and risk factors for Pituitary adenoma surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Ahmad Al Maradni, M.D. [2]
Overview
The transsphenoidal microsugrical approach is the mainstay of treatment for growth hormone-(GH) producing, adrenocorticotropic hormone-(ACTH) producing, and macroadenomas.
Surgery
Surgical treatment and contraindication for pituitary adenoma:
- The transsphenoidal microsurgical approach to a pituitary lesion is the most widely employed surgical approach to pituitary lesions and represents a major development in the safe surgical treatment of both hormonally active and nonfunctioning tumors.
- This approach is often successful in debulking tumors, even those that have a significant suprasellar extension.
- A contraindication to this approach includes tumors with a significant suprasellar extension with an hourglass-shaped narrowing between the intrasellar and suprasellar component because blind attempts to reach the suprasellar tumor may lead to cerebral damage.
- An infection in the sphenoid sinus is potentially a contraindication to the transsphenoidal approach